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1386788768
KIRK DOUGLAS SATROM
O FALLON, IL
NPI
1386788768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 019.018990)
Enumeration Date
2007-02-17
Last Update Date
2007-07-08
Business Address
-- KIRK DOUGLAS SATROM D.D.S., M.S.
741 W STATE ST SUITE 2
O FALLON, IL 62269-1971
Phone number: 618-624-0800
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Mailing Address
-- KIRK DOUGLAS SATROM D.D.S., M.S.
1 LORIEN CT
O FALLON, IL 62269-3132
Phone number: 618-628-0627
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